Coordinator,Referrals

Coordinator,Referrals - BILINGUAL IN ENGLISH/SPANISH REQUIRED

• Schedule - Shift - Hours Full Time - Hybrid

NOTE:
This opening was listed as HYBRID. The first 6 months will be in the office, potential to work Hybrid after training.

14041 Northwest Blvd Ste. 1

Obtain authorization from insurance companies to assist patients in the referral process. Streamlines administrative requirements for patient referrals.

This list may not include all the duties that may be assigned.

• Obtains authorizations for all referral requests received as assigned.
• Reviews and understands documentation required by insurance companies to obtain authorization, including clinical notes, lab results, and consult notes.
• Utilizes insurance web portals to obtain authorizations as required.
• Accurately documents referral details, including status, authorization dates, authorization number, specialist/facility, and other relevant information per policy.
• Effectively advises updates in referral status with patients, clinicians, and office site staff.
• Interacts professionally with specialists/facilities and insurance plan representatives.
• Remains current with company, health plan and specialist requirements.
• Prioritizes use of preferred specialist/facility within the HER.
• Meets productivity standards as determined by management team.
• Manages workloads within notification and request bins in EHR to meet established timeframe expectations.
• Works collaboratively with department team members to ensure coverage.
• Manages high priority notifications and requests appropriately.
• Reviews and updates request pending authorization daily.
• Communicates and collaborates effectively with Referral Manager and team members.
• Performs other duties as assigned.

• High School diploma or equivalent.

• One year’s experience in a medical office and/or referral coordinator experience preferred.

• Knowledge of medical terminology, grammar, spelling, and punctuation to type correspondence.
• Knowledge of the insurance industry.
• Skills in operating a computer, fax and photocopy machine.
• Ability to read, understand and follow oral and written instruction.
• Ability to sort and file materials correctly by alphabetic or numeric systems.
• Ability to speak clearly and concisely.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Typing ability of 40 w.p.m., word processing and computer experience.

• Working in a professional office environment.
• May involves high and frequent call volume.
• Environment requires ability to multi-task, communicate clearly and concisely, data entry for extended periods.
• May require sitting or standing for long period. May require stooping, bending, and stretching.
• Requires manual dexterity sufficient to operate a keyboard, type of 40 wmp, and other office equipment.
• It is necessary to view and type on computer screens for long periods and to work in a high-volume, fast-paced environment.
• Ability to work remotely may be required.

• Vision
• Sense of sound
• Sense of touch

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI ( Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.